Rajasthan is only state in country, which has taken Dakshata to Pan-State. As of now, challenge is to address inadequate reporting, multiple registers and manual collection of data that resulted in hampered or no decisionmaking at all. Results of Dakshata is quite encouraging (20% reduction in SBR in Dakshata facilities compared to non-Dakshata) but to accelerate further changes it is pertinent that data collected at Labor Rooms should be used for better decision-making and developing individual accountability.
After developing standardized case sheet, digitalization of the same was done. Forty fields are made mandatory out of total 421 fields. Total 10 training batches conducted in which 224 data operators were trained. As on 31st Oct 2019, state is getting data from 200 facilities of 23 districts. ASMAN, which is real-time data entry software with in-built clinical decision-support system for nursing staff, is operational in 39 facilities of 4 districts.
1,12,779 case sheets have been entered in MWMIS. Completeness of critical indicators rose from 48% to 78%. Adherence to key clinical practices also improved such as mother’s BP on Admission (25% to 87%) and temperature at discharge (86% to 94%) and fetal heart sound (89% to 96%). ASMAN has data for approximately 80000 deliveries.
Standardized case sheet and availability of the data entry operator is a pre-requisite for scaling up the intervention. State is planning to scale-up ASMAN in additional districts.
Jhpiego (funding support by CIFF, ASMAN) Dashboard generated from MWMIS MWMIS verification by GOI LaQshya Representative Nurse Using ASMAN application Nurse Using ASMAN application
For MWMIS only incentivization- of operator is by NHM, Rajasthan. Tablets, internet connectivity and printer is required to make facility operational under ASMAN.
Source : We Care Coffee Table Book - Good, Replicable and Innovative Practices 2019
Last Modified : 6/12/2021
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